RONALD MCDONALD HOUSE MADISON INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
RONALD MCDONALD HOUSE MADISON INC (EIN 39-1655790)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-05-14
IRS object ID
201501349349301825
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-14T09:23:03-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390974031PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEGNER CPAS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12110 LUANN LNAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537133074ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391655790EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RONALD MCDONALD HOUSE CHARITIES OF MADISON INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRONABusinessNameControlTxt
Phone6082324660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12716 MARSHALL CTAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537052256ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN HUDDLESTONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6082324660PhoneNum
Signature2015-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGLENN MILLER CPAPreparerPersonNm
PTINP00086726PTIN
Phone6082744020PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN HUDDLESTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12716 MARSHALL CTAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537052256ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,522,196GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RMHCMADISON.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionWE PROVIDE A "HOME AWAY FROM HOME" FOR FAMILIES WHOSE CHILDREN (18 AND UNDER) ARE UNDERGOING TREATMENT AT MADISON AREA HEALTH CARE FACILITIES. THE HOUSE ALLOWS FAMILIES TO STAY TOGETHER DURING AN OFTEN VERY DIFFICULT TIME.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee22TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$991,060PYContributionsGrantsAmt
CY Contributions Grants$1,270,105CYContributionsGrantsAmt
PY Program Service Revenue$47,624PYProgramServiceRevenueAmt
CY Program Service Revenue$103,201CYProgramServiceRevenueAmt
PY Investment Income$423,134PYInvestmentIncomeAmt
CY Investment Income$249,161CYInvestmentIncomeAmt
PY Other Revenue$387PYOtherRevenueAmt
CY Other Revenue$97,181CYOtherRevenueAmt
PY Total Revenue$1,462,205PYTotalRevenueAmt
CY Total Revenue$1,719,648CYTotalRevenueAmt
PY Grants And Similar Paid$79,175PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$82,997CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$465,019PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$539,750CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$215,692CYTotalFundraisingExpenseAmt
PY Other Expenses$617,190PYOtherExpensesAmt
CY Other Expenses$750,276CYOtherExpensesAmt
PY Total Expenses$1,161,384PYTotalExpensesAmt
CY Total Expenses$1,373,023CYTotalExpensesAmt
PY Revenues Less Expenses$300,821PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$346,625CYRevenuesLessExpensesAmt
Total Assets BOY$6,657,166TotalAssetsBOYAmt
Total Assets EOY$6,878,094TotalAssetsEOYAmt
Total Liabilities BOY$135,216TotalLiabilitiesBOYAmt
Total Liabilities EOY$112,342TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,521,950NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,765,752NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRONALD MCDONALD HOUSE CHARITIES OF MADISON (RMHC-MADISON) IS A NON-PROFIT, 501(C)(3) ORGANIZATION DEDICATED TO ADVANCING THE WELL-BEING AND HEALTH OF CHILDREN.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$738,822ExpenseAmt
Revenue$32,556RevenueAmt
DescTHE ORGANIZATION OWNS AND OPERATES THE 18-BEDROOM, 17,000 SQUARE FOOT RONALD MCDONALD HOUSE IN MADISON, WISCONSIN. THE HOUSE IS LOCATED WITHIN WALKING DISTANCE OF THE AMERICAN FAMILY CHILDREN'S HOSPITAL AND A FREE SHUTTLE SERVICE, OPERATED WITH VOLUNTEER DRIVERS, IS PROVIDED TO AND FROM ALL MADISON AREA HOSPITALS AND AFFILIATED CLINICS. THE FAMILIES OF CHILDREN MAY STAY IN THE HOUSE. THERE IS A SUGGESTED DONATION OF $10 PER NIGHT THAT IS WAIVED IF THE FAMILY CANNOT AFFORD IT. IN ADDITION TO A ROOM, THE FAMILIES ARE PROVIDED FOOD, LAUNDRY FACILITIES, AND ALL THE COMFORTS OF HOME. THE HOUSE IS STAFFED 24 HOURS PER DAY AND OPERATES 365 DAYS A YEAR UNDER THE MANAGEMENT OF A SMALL FULL-TIME STAFF, A PART-TIME STAFF OF TEN, AND 150 VOLUNTEERS. IN 2014, OVER 1,149 FAMILIES WERE GUESTS OF THE HOUSE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$110,506ExpenseAmt
Grant$82,997GrantAmt
Revenue$70,645RevenueAmt
DescTHE ORGANIZATION PROVIDES FREE DENTAL AND MEDICAL SERVICES TO CHILDREN THROUGH THE RONALD MCDONALD CARE MOBILE. THE CARE MOBILE OPERATES AT PUBLIC SCHOOLS (BASED ON THE PERCENTAGE OF CHILDREN WHO QUALIFY FOR FREE OR REDUCED LUNCHES) IN FIVE COUNTIES IN NORTHERN ILLINOIS. SINCE ITS INCEPTION, THE CARE MOBILE HAS HELPED MORE THAN 19,000 CHILDREN PROVIDING SERVICES WORTH IN EXCESS OF $3.8 MILLION BY PROVIDING RESTORATIVE CARE FOR UNINSURED OR UNDERINSURED CHILDREN, AND OFFERS SEALANTS TO ANY CHILDREN WHO NEED THEM. IN 2014, THE RONALD MCDONALD CARE MOBILE HELPED 789 CHILDREN IN NORTHERN ILLINOIS THROUGH 869 DENTAL AND MEDICAL VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$179,293ExpenseAmt
DescRMHC-MADISON MANAGES AND OPERATES A RONALD MCDONALD FAMILY ROOM AT ST. MARY'S HOSPITAL IN MADISON. THE RONALD MCDONALD FAMILY ROOM IS A 3,500 SQUARE FOOT SPACE THAT PROVIDES EVERY AMENITY OF THE RONALD MCDONALD HOUSE ON A SMALLER SCALE TO FAMILIES WHO HAVE CHILDREN BEING TREATED AT ST. MARY'S HOSPITAL. THE FAMILY ROOM HAS A KITCHEN, DINING AREA, LAUNDRY FACILITIES, COMPUTER ROOM, CHILDREN'S LIBRARY, QUIET ROOM, LIVING ROOM AREA, AND 4 BEDROOMS WITH PRIVATE BATHROOMS FOR PARENTS WITH THE MOST CRITICALLY ILL CHILDREN. THE RONALD MCDONALD FAMILY ROOM IS OPEN FROM 9:00 AM TO 9:00 PM, 7 DAYS A WEEK. RMHC-MADISON PROVIDES A PAID MANAGER (30 HOURS A WEEK) AS WELL AS ENSURING THE SPACE IS FULLY STOCKED WITH FOOD AND OTHER SUPPLIES. A CADRE OF 60 VOLUNTEERS ALSO PROVIDES HELP IN OPERATIONS. THERE IS NO COST OR SUGGESTED DONATION FOR USE OF THIS SPACE. IN 2014, THE RONALD MCDONALD FAMILY ROOM AT ST. MARY'S HOSPITAL HAD 4,686 DAY VISITS AND 910 OVERNIGHT GUESTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,028,621TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee22EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSANDRA JANAGOLDPersonNm
Phone6082324660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12716 MARSHALL CTAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537052256ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE LANDRY
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
GUY BUCCIFERRO III
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
KEITH BAUMGARTNER
SECRETARY2.00Yes (X)Yes (X)$0$0$0
TRACY YANDRY
TREASURER2.00Yes (X)Yes (X)$0$0$0
KRISTIN POLYWACZ
DIRECTOR1.00Yes (X)$0$0$0
JERRY BROWN
DIRECTOR1.00Yes (X)$0$0$0
JIM MARTIN
DIRECTOR1.00Yes (X)$0$0$0
DICK FEMRITE
DIRECTOR1.00Yes (X)$0$0$0
LORRIE GORICHS
DIRECTOR1.00Yes (X)$0$0$0
STEVE HOFF
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE KELLY
DIRECTOR1.00Yes (X)$0$0$0
BILL SHAGER
DIRECTOR1.00Yes (X)$0$0$0
FARRAH RIFELJ
DIRECTOR1.00Yes (X)$0$0$0
MATT VAN NEST
DIRECTOR1.00Yes (X)$0$0$0
JASPER VACCARO
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL WEBER
DIRECTOR1.00Yes (X)$0$0$0
KEVIN HUDDLESTON
EXECUTIVE DIRECTOR40.00Yes (X)$88,850$0$22,755
FieldValueIRS element (for citing)
Total Reportable Comp From Org$88,850TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$22,755TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$34,148FederatedCampaignsAmt
Fundraising$85,425FundraisingAmt
All Other Contributions$1,150,532AllOtherContributionsAmt
Noncash Contributions$148,917NoncashContributionsAmt
Total Contributions$1,270,105TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER PROGRAM SERVICES624190$70,645$70,645
ROOM DONATIONS624221$32,556$32,556
FieldValueIRS element (for citing)
Total Program Service Revenue$103,201TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,078TotalRevenueColumnAmt
Exclusion$92,078ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,929,040SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,771,957SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$157,083SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$157,083TotalRevenueColumnAmt
Exclusion$157,083ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$123,519FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$85,425ContriRptFundraisingEventAmt
Fundraising Direct Expenses$30,591FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,928TotalRevenueColumnAmt
Exclusion$92,928ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$4,253GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,253TotalRevenueColumnAmt
Exclusion$4,253ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,719,648TotalRevenueColumnAmt
Related Or Exempt Func Income$103,201RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$346,342ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$82,997TotalAmt
Program Services$82,997ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$111,605TotalAmt
Program Services$74,242ProgramServicesAmt
Management And General$10,625ManagementAndGeneralAmt
Fundraising$26,738FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$340,144TotalAmt
Program Services$229,168ProgramServicesAmt
Management And General$34,198ManagementAndGeneralAmt
Fundraising$76,778FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,397TotalAmt
Program Services$12,257ProgramServicesAmt
Management And General$1,443ManagementAndGeneralAmt
Fundraising$5,697FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$36,166TotalAmt
Program Services$22,854ProgramServicesAmt
Management And General$2,690ManagementAndGeneralAmt
Fundraising$10,622FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$32,438TotalAmt
Program Services$20,499ProgramServicesAmt
Management And General$2,412ManagementAndGeneralAmt
Fundraising$9,527FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,300TotalAmt
Management And General$10,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,945TotalAmt
Program Services$6,172ProgramServicesAmt
Management And General$4,431ManagementAndGeneralAmt
Fundraising$5,342FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,072TotalAmt
Program Services$13,192ProgramServicesAmt
Fundraising$8,880FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$272,604TotalAmt
Program Services$212,462ProgramServicesAmt
Management And General$3,470ManagementAndGeneralAmt
Fundraising$56,672FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,111TotalAmt
Program Services$2,855ProgramServicesAmt
Management And General$446ManagementAndGeneralAmt
Fundraising$810FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$139,152TotalAmt
Program Services$110,687ProgramServicesAmt
Management And General$28,465ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$444TotalAmt
Program Services$276ProgramServicesAmt
Management And General$74ManagementAndGeneralAmt
Fundraising$94FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$23,737TotalAmt
Program Services$14,839ProgramServicesAmt
Management And General$2,628ManagementAndGeneralAmt
Fundraising$6,270FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$42,958TotalAmt
Program Services$42,958ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$184,529TotalAmt
Program Services$152,456ProgramServicesAmt
Management And General$25,592ManagementAndGeneralAmt
Fundraising$6,481FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,503TotalAmt
Program Services$27,085ProgramServicesAmt
Management And General$1,418ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,921TotalAmt
Program Services$3,622ProgramServicesAmt
Management And General$518ManagementAndGeneralAmt
Fundraising$1,781FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,373,023TotalAmt
Program Services$1,028,621ProgramServicesAmt
Management And General$128,710ManagementAndGeneralAmt
Fundraising$215,692FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,813BOYAmt
EOY$317,918EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$556,654BOYAmt
EOY$141,006EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$153,706BOYAmt
EOY$164,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,912BOYAmt
EOY$6,055EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$16,186BOYAmt
EOY$17,831EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,961,876LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,373,667LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,821,138BOYAmt
EOY$2,588,209EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,069,540BOYAmt
EOY$3,613,448EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,217BOYAmt
EOY$29,127EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,657,166BOYAmt
EOY$6,878,094EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,188BOYAmt
EOY$52,215EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$91,028BOYAmt
EOY$60,127EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$135,216BOYAmt
EOY$112,342EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,515,605BOYAmt
EOY$6,760,032EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,345BOYAmt
EOY$5,720EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,521,950BOYAmt
EOY$6,765,752EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,657,166BOYAmt
EOY$6,878,094EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$346,625ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$102,823NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,112,312CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,395,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,114,693CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$991,060CurrentTaxYearMinus1YearAmt
Current Tax Year$1,270,105CurrentTaxYearAmt
Total$5,883,738TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,112,312CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,395,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,114,693CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$991,060CurrentTaxYearMinus1YearAmt
Current Tax Year$1,270,105CurrentTaxYearAmt
Total$5,883,738TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$194,258SubstantialContributorsTotAmt
Public Support Total170$5,689,480PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$94,739CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$79,128CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92,269CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$143,934CurrentTaxYearMinus1YearAmt
Current Tax Year$92,078CurrentTaxYearAmt
Total$502,148TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$92,928CurrentTaxYearAmt
Total$92,928TotalAmt
FieldValueIRS element (for citing)
Total Support$6,478,814TotalSupportAmt
Gross Receipts Rltd Activities$326,166GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87820PublicSupportCY170Pct
Public Support PY1700.88540PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,217BeginningYearBalanceAmt
Investment Earnings Or Losses$910InvestmentEarningsOrLossesAmt
End Year Balance$29,127EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,352BeginningYearBalanceAmt
Investment Earnings Or Losses$3,865InvestmentEarningsOrLossesAmt
End Year Balance$28,217EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,001BeginningYearBalanceAmt
Investment Earnings Or Losses$2,351InvestmentEarningsOrLossesAmt
End Year Balance$24,352EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,998BeginningYearBalanceAmt
Investment Earnings Or Losses-$997InvestmentEarningsOrLossesAmt
End Year Balance$22,001EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,150BeginningYearBalanceAmt
Investment Earnings Or Losses$1,848InvestmentEarningsOrLossesAmt
End Year Balance$22,998EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$467,026OtherCostOrOtherBasisAmt
Book Value$467,026BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,735,069OtherCostOrOtherBasisAmt
Depreciation$1,026,649DepreciationAmt
Book Value$1,708,420BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$759,781OtherCostOrOtherBasisAmt
Depreciation$347,018DepreciationAmt
Book Value$412,763BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,588,209TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,728,892TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$102,823NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$81,476DonatedServicesAndUseFcltsAmt
Revenue Not Reported-$21,347RevenueNotReportedAmt
Revenue Subtotal$1,750,239RevenueSubtotalAmt
Other Revenues Not Included-$30,591OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$30,591RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,719,648TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,485,090TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$81,476DonatedServicesUseFcltsAmt
Other Expenses Included$30,591OtherExpensesIncludedAmt
Expenses Not Reported$112,067ExpensesNotReportedAmt
Expenses Subtotal$1,373,023ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,373,023TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE INCOME FROM THE ENDOWMENT FUNDS CAN BE USED TO SUPPORT THE HOUSE'S GENERAL OPERATIONS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8A
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8A

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$208,944GrossReceiptsEvent1Amt
Charitable Contri Event1$85,425CharitableContriEvent1Amt
Gross Revenue Event1$123,519GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,327NonCashPrizesEvent1Amt
Rent Facility Costs Event1$20,229RentFacilityCostsEvent1Amt
Food And Beverage Event1$949FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$8,086OtherDirectExpensesEvent1Amt
Gross Receipts Total$208,944GrossReceiptsTotalAmt
Charitable Contributions Tot$85,425CharitableContributionsTotAmt
Gross Revenue Total Events$123,519GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,327NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$20,229RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$949FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$8,086OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$30,591DirectExpenseSummaryEventsAmt
Net Income Summary$92,928NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ROCKFORD MEMORIAL DEVELOPMENT FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP611033655ZIPCd
FieldValueIRS element (for citing)
Recipient EIN363197918RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$82,914CashGrantAmt
Purpose Of GrantDENTAL CARE SERVICES FOR UNDERPRIVILEGED CHILDRENPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PARTNERS WITH THE ROCKFORD HEALTH SYSTEMS TO PROVIDE MEDICAL AND DENTAL SERVICES ABOARD THE ORGANIZATION'S CARE MOBILE. ROCKFORD HEALTH SYSTEMS SUBMITS QUARTERLY INVOICES TO THE ORGANIZATION. THESE INVOICES DETAIL THEIR EXPENSES FOR OPERATING THE CARE MOBILE, AND THE ORGANIZATION PAYS EXACTLY ONE-HALF OF THOSE EXPENSES UP TO AN ANNUAL CAP $73,500 FOR ROCKFORD HEALTH SYSTEMS. THE ORGANIZATION'S EXECUTIVE DIRECTOR REVIEWS THE QUARTERLY INVOICES AND THEN FORWARDS THEM TO THE ORGANIZATION'S BUSINESS MANAGER WHO ENTERS THE EXPENSE DATA INTO THE ACCOUNTING SYSTEM AND PREPARES CHECKS FOR PAYMENT. THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES CHECKS FOR PAYMENT, SIGNS THEM, AND RETURNS THEM TO THE BUSINESS MANAGER WHO MAILS THEM TO THE RESPECTIVE HOSPITALS.ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$41,569NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution250ContributionCnt
Noncash Contributions Rpt F990$20,406NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)HOUSE MAINTENANCE SUPPLIES150$19,372COST/SELLING PRICE
Yes (X)FAMILY ROOM SUPPLIES10$129COST/SELLING PRICE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE PREPARED FORM 990 IS REVIEWED BY THE PRESIDENT AND THE TREASURER OF THE GOVERNING BODY AND APPROVED BY THE MEMBERS OF THE ORGANIZATION'S EXECUTIVE COMMITTEE BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, ALL DIRECTORS COMPLETE AND SIGN A STATEMENT THAT DISCLOSES INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE DIRECTORS COLLECTIVELY REVIEW THE COMPLETED FORMS, WHICH ARE KEPT AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ANY DIRECTOR WITH A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS REGARDING THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE COMMITTEE OF THE GOVERNING BODY ANNUALLY CONDUCTS A REVIEW OF THE EXECUTIVE DIRECTOR, REVIEWS COMPENSATION DATA FOR COMPARABLE POSITIONS AT SIMILAR AGENCIES, AND RECOMMENDS A COMPENSATION LEVEL THAT IS THEN APPROVED BY THE ENTIRE GOVERNING BODY DURING THE ANNUAL BUDGETING PROCESS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (EXCEPT FOR THE CONTINGENCY PLAN AND THE HOUSE OPERATIONS MANUAL) AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. ANNUAL FINANCIAL STATEMENTS ARE INCLUDED IN THE ORGANIZATION'S ANNUAL REPORT THAT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE.

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